Items in BOLD are required.
Date:  9/8/2010
Thank you for your interest in Military Community Youth Ministries.  Please fill out the information below so we can begin the MCYM inquiry process.   If you would prefer to mail or fax your inquiry information sheet the contact information is: Military Community Youth Ministries attention: Cindy Wynn P.O. Box 2486 Colorado Springs, Colorado 80901 Fax (719) 381-1869
First Name
Last Name
Email Address
Phone Number
How did you find out about MCYM?	Internet advertisement (please give specific site name below Young Life Youth for Christ NFCYM Youth Arise Other - please give specific information below
Other
Please write a short letter of introduction, stating why you would like to work with MCYM.
Please check if you have ever been employed by, volunteered with, or attended any of our partner organizations.	Young Life Youth For Christ Life Teen No
Do you have prior military exposure?	Served in the military Grew up in the military None
Duration of Ministry desired?	Short Term: 3-6 months Long Term: 3 years or more Not sure
Is there a location area you are interested in?	United States Europe Pacific Not sure
Are you willing to fundraise?	Yes No
Are you a United States citizen?	Yes No
Please specify your highest level of education completed:	High SchoolPartial UndergraduateAssociatesUndergraduateGraduateDoctorate

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